Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results

Taylor, Andrew M.; Dymarkowski, Steven; Verbeken, Eric; Bogaert, Jan

doi:10.1007/s00330-005-0025-0

Cited by 141 publications

(108 citation statements)

References 16 publications

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“…Budowę tkanek serca i osierdzia można ocenić w obrazie T1-zależnym ciemnego sygnału krwi oraz w obrazie T2-zależnym ciemnego sygnału krwi, w obrazie echa spinowego w sekwencji STIR (sekwencja zależna od czasu inwersji dla tkanki tłuszczowej), za pomocą SSFP i w obrazie T1-zależnym po podaniu kontrastu i/lub poprzez późne wzmocnienie kontrastu (LCE) po dożylnym podaniu paramagnetycznych chelatów gadolinu [3,4,114]. Sekwencja LCE opiera się na inwersji odbudowie sygnału pre-pulse, co wzmacnia kontrast i umożliwia uwidocznienie zmian zapalnych w osierdziu [114,115].…”

Section: Rezonans Magnetyczny Sercaunclassified

“…Badanie CMR jest szczególnie ważne u chorych na zaciskające zapalenie osierdzia, ponieważ umożliwia rozpoznanie zmian atypowych, np. z minimalnym pogrubieniem osierdzia lub wysiękowo-zaciskających, i odróżnienie ich od zmian potencjalnie odwracalnych lub od przejściowych zmian zaciskających, kiedy to widoczne jest wzmocnienie sygnału osierdzia w sekwencji LCE [115,118,119]. Zaletą CMR w porównaniu z CT jest możliwość uzyskania informacji na temat konsekwencji hemodynamicznych obecności niepodatnych zmian w osierdziu podczas wypełniania jam serca [109][110][111].…”

Section: Rezonans Magnetyczny Sercaunclassified

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2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

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Section: Rezonans Magnetyczny Sercaunclassified

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Adler

Charron²,

Imazio³

et al. 2015

Kardiol Pol

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202

293

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“…MR imaging after administration of a paramagnetic contrast agent is useful in patients suspected of having pericardial masses or inflammatory pericarditis and to depict concomitant myocardial pathologic conditions (eg, myocarditis) and is of great value in depicting persistent chronic inflammation in patients with constrictive pericarditis (3,20,21,41,44). Although T1-weighted spin-echo sequences can be used for contrast-enhanced imaging, we recommend use of late (or delayed) gadolinium-enhanced inversion-recovery MR imaging, as has been proposed for imaging myocardial infarct and viability (20,(45)(46)(47). Cine MR imaging performed with balanced steady-state free precession (SSFP) …”

Section: Imaging Of Normal Pericardiummentioning

confidence: 99%

“…For example, fast MR sequences allow one to study cardiac motion and inflow patterns in real time during free breathing, which allows identification of constrictive physiology (15)(16)(17)(18)(19). Moreover, delayed (or late) gadolinium-enhanced MR imaging is useful for the detection of pericardial inflammation and for monitoring the effects of medical (anti-inflammatory) treatment (20,21). Cardiac CT with multidetector scanners and electrocardiographically (ECG) synchronized data acquisition allows an accurate assessment of the coronary arteries and the remainder of the heart and pericardium, including functional cardiac analysis (22)(23)(24)(25).…”

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Pericardial Disease: Value of CT and MR Imaging

Bogaert

Francone²

2013

Radiology

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“…The presence of pericardial LGE on DE-MR with or without small effusion supports a clinical diagnosis of acute pericarditis. 63 The high spatial resolution of DE-MR enables the evaluation of adjacent epicardial fat and myocardial involvement in the inflammatory process. Cardiac magnetic resonance imaging is also complementary to, and can be more advantageous than, echocardiography for the evaluation of pericardial effusion.…”

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confidence: 99%

Cardiac Magnetic Resonance Imaging for the Investigation of Cardiovascular Disorders. Part 1: Current Applications

Goenka

Wang

Flamm

2014

Texas Heart Institute Journal

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Cardiac magnetic resonance imaging is a robustC ardiac magnetic resonance imaging (CMR) has emerged as a robust noninvasive technique for the investigation of cardiovascular disorders. Several technical advances have facilitated the growth of CMR by enabling high-quality diagnostic imaging despite the challenges inherent to cardiac imaging: cardiorespiratory motion and flowing blood. Considerable research evidence and years of clinical experience have shown the diagnostic and prognostic usefulness of CMR in a wide spectrum of cardiovascular disorders. The coming-of-age of CMR and its widening span of applications have generated excitement, as well as uncertainty, regarding its potential clinical use and its role vis-à-vis conventional imaging techniques. The purpose of this article is to highlight the current (Part 1) and emerging (Part 2) applications of CMR, in order to assist the referring physician in the decision-making process. Current Applications Analysis of Ventricular Function and VolumesCardiac magnetic resonance imaging has evolved into an accurate and well-validated tool for the evaluation of cardiac function. The high reproducibility of CMR-derived measures of cardiac function makes CMR an ideal technique for the longitudinal follow-up of patients.1 This superior reproducibility has also led to increased use of CMR as a reference standard for other techniques and as a surrogate outcome measure in drug studies. In fact, the use of CMR has facilitated reduction in the required sample sizes for such studies by as much as 10-fold, in turn decreasing overall study costs by up to 80%. 2-4Cardiac-function evaluation on CMR is based on true volumetric quantification, which is performed by dividing the ventricles into several smaller and relatively simpler subvolumes for the calculation of global ventricular volume (the disc-summation technique). This technique does not use the geometric assumptions that form the basis of planar imaging techniques like echocardiography. The current workhorse of functional CMR is the balanced steady-state free precession (SSFP) sequence, which provides excellent delineation of the endocardial-blood pool interface. When combined with parallel imaging techniques, the SSFP sequence enables the acquisition of electrocardiographic (ECG)-gated images within breath-hold times as short as 6 seconds per slice while maintaining sufficient spatial resolution. Images are acquired in the true short-axis plane from the base of the heart to the apex (Fig. 1). For image

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Detection of pericardial inflammation with late-enhancement cardiac magnetic resonance imaging: initial results

Abstract: These findings demonstrate that MRI late enhancement can be used to visualize pericardial inflammation in patients with clinical suspicion of pericardial disease.

Cited by 141 publications

References 16 publications

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

2015 ESC Guidelines for the diagnosis and management of pericardial diseases

Pericardial Disease: Value of CT and MR Imaging

Cardiac Magnetic Resonance Imaging for the Investigation of Cardiovascular Disorders. Part 1: Current Applications

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